Walter Bennett, NP in Family Health, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WALTER BENNETT, NP IN FAMILY HEALTH, PLLC

Practice address

125 Jerusalem Ave Apt a
Hicksville, NY 11801-4958

Phone

(516) 935-3555

NPI assigned

Oct 24, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Bennett, FNPNPI 1164569703

Title

President

Phone

(516) 935-3555

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Charles Bennett Jr.

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1164569703
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1942022694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JERUSALEM AVE APT A",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014958",
            "telephone_number": "516-935-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JERUSALEM AVE APT A",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014958",
            "telephone_number": "516-935-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Franklin Square",
            "state": "NY",
            "postal_code": "110102938",
            "country_code": "US",
            "telephone_number": "256-694-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALTER BENNETT, NP IN FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-935-3555",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc (Walgreens #03102)
• Shatees Ernestine Walker
• Kathleen Wallace
• James Waller, L.AC, LMT
• Savannah Walsh
• Sally Tina Warren
• Carrie Weaver
• Jessica Webber-Rampell
• Carol Weber III
• Mairead Wegenaar, LCAT

• Family Medicine Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.